Introduction to the Six Questions Introduction to the Six Questions - - PowerPoint PPT Presentation

1

Introduction to the “Six Questions Introduction to the “Six Questions County Leaders Need to Ask” County Leaders Need to Ask”

February 2017

2

Webinar Recording and Evaluation Survey

• This webinar is being recorded and will be made

available online to view later

– Recording will also be available at www.naco.org/webinars

• After the webinar, you will receive a notice asking

you to complete a webinar evaluation survey. Thank you in advance for completing the webinar evaluation survey. Y

• ur feedback is important to

us.

3

Tips for viewing this webinar:

• The questions box and buttons are on the right

side of the webinar window.

• This box can collapse so that you can better view

the presentation. To unhide the box, click the arrows on the top left corner of the panel.

• If you are having technical difficulties, please

send us a message via the questions box on your

• right. Our organizer will reply to you privately

and help resolve the issue.

4

Poll Questions

5

5

Stepping Up Launched Stepping Up Launched May 2015 May 2015

This project was supported by Grant No. 2012-CZ-BX-K071 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Office of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute

• f Justice, the Office of Juvenile Justice and Delinquency Prevention, the Office for Victims of Crime, the Community Capacity

Development Office, and the Office of Sex Offender Sentencing, Monitoring, Apprehending, Registering, and Tracking. Points of view

• r opinions in this document are those of the author and do not necessarily represent the official position or policies of the U.S.

Department of Justice. To learn more about the Bureau of Justice Assistance, please visit bja.gov.

6

Speaker: Ruby Qazilbash

Ruby Qazilbash Associate Deputy Director Bureau of Justice Assistance Office of Justice Programs U.S. Department of Justice

7

Getting Started Getting Started

www www.stepuptogether .stepuptogether.org .org

8

Counties are Stepping Up Counties are Stepping Up

St Stepp epping ng Up R Up Reso solutions R lutions Recei eceived as of Januar ed as of January 1, 2 y 1, 2017

9

Poll Questions

10

Webinars

Self- Assessment Tools

County Examples Planning Exercises Research

Resources T Resources Toolkit

• olkit

StepUpTogether.org/Toolkit

11

S tepping Up Archived Webinars

• Getting Started with Stepping Up
• Strategies to Measure Prevalence and Assess the Needs of

Individuals with Mental Illnesses in Jails.

• Examining Treatment and Service Capacity and Identifying State

and Local Policy and Funding Barriers

• Effective Law Enforcement and Diversion Strategies
• Effective Strategies for Connecting People with Mental Illnesses to

Services after Release from Jail

• Preparing a Plan and Tracking Progress

StepUpTogether.org/Toolkit

12

Upcoming S tepping Up TA Resources

Monthly Webinars and Networking Calls

• First Stepping Up Network Call: Introduction to the

Network and Making the Six Questions Work for You (March 2 at 2pm EST)

• Next Webinar: Conducting Timely Mental Health

Screening and Assessment in Jails (April 6 at 2pm EST)

• Register at www.NACo.org/Webinars

Quarterly Small-Group Networking and TA Calls

• Calls start in March. Stepping Up counties will receive an

email to register.

13

Upcoming S tepping Up TA Resources

www.StepUpTogether.org/Toolkit

Workshops at NACo’s Legislative Conference

• February 25 – March 1 in Washington, D.C.
• Find out more at www.NACo.org/Events

Updated Resource Toolkit

• Companion tools for county leaders
• A Project Coordinator Handbook
• Guidance on measuring the prevalence of people with

mental illnesses in jails

• A searchable online repository of example programs and

strategies

14

Stay Updated Stay Updated

Visit Visit stepuptogether stepuptogether.org .org and click on the and click on the Take Action Action Now Now button button to receive Stepping Up updates to receive Stepping Up updates

15

Today’s Webinar

• Risë Haneberg

Senior Policy Advisor, County Program Council of State Governments Justice Center

• Duane Holder

Deputy County Manager Pitt County, N.C.

• The Honorable Roy Charles Brooks

Commissioner, Tarrant County, Texas First Vice President, National Association of Counties

16

Speaker: Risë Haneberg

Risë Haneberg Senior Policy Advisor, County Program Council of State Governments Justice Center

Stepping Up:

Introduction to the Six Questions County Leaders Need to Ask

Risë Haneberg, Senior Policy Advisor, CSG Justice Center February 2, 2017

Jails Are Where the Volume Is

11,605,175 553,843 222,565 10,621 Jail Admissions Prison Admissions

Annually Weekly

Number of Admissions to Jail and Prison Weekly and Annually, 2012

18

Mental Illnesses: Overrepresented in Our Jails

5%

Serious Mental Illness

General Population Jail Population

17% Serious

Mental Illness

72% Co‐Occurring

Substance Use Disorder

19

Factors Driving the Crisis

Longer stays in jail and prison Limited access to health care Low utilization of EBPs Higher recidivism rates More criminogenic risk factors Disproportionately higher rates of arrest

20

Stepping Up: A National Initiative to Reduce the Number of People with Mental Illnesses in Jails

To read the full report, please visit: https://stepuptogether.org/updates/stepping_up_releases_foundational_report

Overarching Goal There will be fewer people with mental illnesses in our jails tomorrow than there are today

How Do We Know if a County is Positioned to Reduce the Number of People with Mental Illnesses in Jail? 1. Is your leadership committed? 2. Do you have timely screening and assessment? 3. Do you have baseline data? 4. Have you conducted a comprehensive process analysis and service inventory? 5. Have you prioritized policy, practice, and funding? 6. Do you track progress?

Six Key Questions

• 1. Is Your Leadership Committed?

Mandate from county elected officials

☐

Representative planning team

☐

Commitment to vision, mission, and guiding principles

☐

Designated project coordinator and

• rganized planning process

☐

Accountability for results

☐

Creating a County Collaborative Leadership and Management Structure

Defense Bar Probation Chief District Attorney County Commissioner/ Executive

CJ Coordinator

Sheriff/Jail Administrator Judge Behavioral Health Director Families/Ad vocates Mayors Police Departments Providers Services Providers Community Leaders

• 2. Do You have Timely Screening and Assessment?

Mental illness Substance use disorders Recidivism Is there are system‐wide definition of:

☐ ☐ ☐ ☐

Screening and assessment:

☐

Validated screening and assessment tools An efficient screening and assessment process

☐ ☐

Electronically collected data

☐

Example of Timely Screening and Assessment in Salt Lake County, Utah

Screenings Administered at Jail Booking and Follow Up Assessments in Salt Lake County, UT

Correctional Mental Health Screen Texas Christian University Drug Screen V Salt Lake Pretrial Risk Instrument Level of Service Inventory: Screening Version Jail Management Pretrial Release Diversion Connection to Care at Discharge Community Supervision Assessments Based on Screening Results in Jail

• r In the Community

Recommended Uses for Informing Decision‐Making Information Sharing Agreements between Agencies is Recommended

Improving Screening and Assessment

Adopt a uniform definition of mental illness (and SUD) Select validated screening and assessment tools Universal screening for everyone booked into jail Validated assessment by clinical professional for all screened positive Assess for pretrial risk or diversion

• 3. Do You Have Baseline Data?

Prevalence rate of mental illnesses in jail population Length of time people with mental illnesses stay in jail Connections to community‐based treatment, services, and supports Recidivism rates

Four Key Measures

☐ ☐ ☐ ☐

Electronically collected data

☐ ☐

Strategies Must Focus on Four Outcomes

1. Reduce

the number of people with mental illness booked into jail

2. Shorten

the length of stay for people with mental illnesses in jails

3. Increase

the percentage

• f people with

mental illnesses in jail connected to the right services and supports

4. Lower

rates of recidivism

• 4. Have You Conducted a Comprehensive Process Analysis and

Service Inventory?

System‐wide process review

☐

Inventory of services and programming

☐

Identified system gaps and challenges

☐

Process problems Capacity needs Population projections

☐ ☐ ☐

Evidence Based Practices Identified

☐

A County’s Process Analysis for the Arrest/Booking Stage

1 4 3 2 5

CIT training of law enforcement is not comprehensive; protocols vary by agency Automated information system data entry happens at various times Lack of standardized policies at the various detention facilities across the county Law enforcement is often unable to locate facility with capacity for Arrested Persons (APs) with acute MH needs Medical staff cross check jail booking information with local hospital(s) system to check MH history; info is not shared with county jail

• 5. Have You Prioritized Policy, Practice, and Funding?

A full spectrum of strategies

☐

Costs and funding identified

☐

Strategies clearly focus on the four key measures

☐

County investment

☐

4

$

A System of Diversion to a System of Care

Jail-based Court-based Pretrial Court-based Jail-based Law Enforcement Law Enforcement

Initial Contact with Law Enforcement

Arrest

Initial Detention First Court Appearance Jail - Pretrial Dispositional Court Jail/Reentry Probation Prison/Reentry Parole Specialty Court

Community‐Based Continuum of Treatment, Services, and Housing

Intensive Outpatient Treatment Peer Support Services Case Management Psychopharma- cology Supportive Housing Outpatient Treatment Integrated MH & SU Services Supported Employment Crisis Services

• 6. Do You Track Progress?

Reporting timeline of four key measures

☐

Process for progress reporting

☐

Ongoing evaluation of program implementation

☐

Ongoing evaluation of program impact

☐

4

Tracking Progress

Prevalence rate of mental illnesses in jail population Length of time people with mental illnesses stay in jail Connections to community‐based treatment, services, and supports Recidivism rates

Four Key Measures

☐ ☐ ☐ ☐ ☐

THANK YOU

For more information, please contact:

Risë Haneberg, Senior Policy Advisor, CSG Justice Center – rhaneberg@csg.org

38

Speaker: Duane Holder

Duane T. Holder, MPA Deputy County Manager Pitt County, N.C. Government

Stepping Up Initiative

NACo Webinar

Duane T. Holder, MPA Deputy County Manager February 2, 2017

How Did We Get Here?

• Community support & awareness of mental

health issues, strategies

• County Commissioner support
• Sheriff’s Office support
• Top 25 inmates entered jail over 480 times since

the year 2000 totaling > 20,000 days @ cost of $1.5M

Timeline of Events

• April 2015 – Sheriff’s Office applied for Bureau of

Justice Assistance “Justice & Mental Health Collaboration Program” grant; commonly referred to as “MH in CJ” grant

• August 2015 ‐ County Commissioners adopted

“Stepping Up” resolution

• October 2015 – Awarded MH in CJ grant

Timeline of Events

• April 2016 – Members of the Policy Team attended

National Stepping Up Summit in Washington, DC

• June 2016 – Per planning team recommendation,

County Commissioners appropriated funds to create a full‐time Jail MH Navigator position

• July 2016 – Present – Continue to work through MH in

CJ Planning & Implementation (P&I) Guide

Blending of Initiatives

Goals of MH in CJ grant complement Stepping Up goals

• Determine prevalence of the problem; how many offenders

in the jail with MH problems

• Evaluate current system via utilization of SAMHSA

Sequential Intercept Model to identify diversion potential

• Accomplish comprehensive, data‐driven analysis of

community‐based and criminal justice systems to identify jail diversion strategies

• Identify community resources
• Submit recommendations to Policy Team for

implementation

Stepping Up Activities

• Identified Policy Team inclusive of heads of agencies

represented on the MH in CJ Planning Team

• Attended National Stepping Up Summit
• Coordination with MH in CJ Planning Team
• Periodic initiative updates to BOCC
• Take recommendations from Planning Team and implement

policy changes and/or funding appropriations

MH in CJ Grant Benefits

• Provides for technical assistance from the Council of State

Governments Justice Center

• Best practices across the state and nation
• Use of P & I Guide
• On‐site visits and reviews

MH in CJ Grant Outcomes

• Reduce the number of people with mental illnesses and co‐
• ccurring disorders who are booked into jail
• Reduce the length of time people with mental illnesses and

co‐occurring disorders stay in jail

• Increase the number of people released from jail who are

connected to community‐based services and supports

• Reduce the number of people with mental illnesses and co‐
• ccurring disorders returning to jail

Major Task: Convene Planning Team

• County Government
• Sheriff & Jail Administrators
• Hospital Behavioral Health (important for managing IVC’s)
• LME/MCO
• Behavioral Health Providers
• Public Defender, District Attorney, Judges
• Police
• Probation & Parole
• DSS
• Homeless Shelter

Continues to grow as stakeholders are identified

Planning Team Activities

• Use Sequential Intercept Model
• Learn about each others’ roles
• Collectively define Mental Illness and define Recidivism
• Review Jail Screens & Validated Assessments
• Identify Strengths, Weaknesses & Gaps

Excerpt of SWOT Analysis

• Strengths: Invested stakeholders, commitment from BOCC,

CIT, strong LME/MCO & provider resources

• Weaknesses: Lack of pre‐trial diversion programming, lack
• f post‐release connection with services
• Opportunities: Creation of county Jail Diversion program,

navigator position in Detention Center

• Threats: Lack of information sharing, ever‐changing MH

system

Duane Holder, Deputy County Manager (252) 902‐3012 duane.holder@pittcountync.gov

• r

Kimberly DeRosier, MHA of Eastern Carolina (252) 368‐6472 kimberly.derosier@pittcollaborative.org

For More Information on Pitt County’s Stepping Up Efforts

52

Speaker: Roy Charles Brooks

The Honorable Roy Charles Brooks Commissioner Tarrant County, Texas

53

Tarrant County Criminal Justice Coordinating Committee (CJCC)

The CJCC provides an ongoing countywide forum for leaders from criminal j ustice agencies, general governments and communities to collectively discuss public safety and criminal j ustice issues in the most evidence-based, cost-effective, and equitable ways

• possible. The committee brings together leaders to form

a unique policy-level forum whose overall purpose is to strengthen interagency coordination, communication, and cooperation.

54

Tarrant County Criminal Justice Coordinating Committee (CJCC)

67 Members, including:

• County Commissioners
• County Judge
• S

heriff

• IT Director
• Budget Director
• County Administrator
• Judicial Administrator
• Probation Director
• County Clerk
• Pretrial Release Director
• Medical Examiner
• Community Development

Director

• Auditor
• District Attorney
• District Clerk
• Public Health Director

55

Tarrant County Criminal Justice Coordinating Committee (CJCC)

The CJCC addresses various topics such as:

• Mentally Ill in Jail
• Pretrial Release Functions
• High Recidivism Rates
• County Jail Reentry Programs
• Discovery Process
• Inmate Paper Ready process
• Community Mental Health

Centers

• Detoxification Centers
• S

tate Level Reentry Planning

• Community Justice and

Reintegration Initiatives

• Ex-Offender Resource

Coordination

• Reentry Coalitions
• Human Trafficking; and
• Updates to the Tarrant County

Criminal Justice Community Plan.

56

Questions?

The questions box and buttons are on the right side of the webinar window.

57

Next S tepping Up Opportunities

Monthly Webinars and Networking Calls

• First Stepping Up Network Call: Introduction to the

Network and Making the Six Questions Work for You (March 2 at 2pm EST)

• Next Webinar: Conducting Timely Mental Health

Screening and Assessment in Jails (April 6 at 2pm EST)

• Register at www.NACo.org/Webinars

Quarterly Small-Group Networking and TA Calls

• Calls start in March. Stepping Up counties will receive an

email to register.

58

Nastassia Walsh, MA Program Manager, NACo E: nwalsh@naco.org P: 202.942.4289 www.NACo.org www.stepuptogether.org info@stepuptogether.org Contact Information Contact Information